Name *

First Name

Last Name

Phone *

(###)

###

####

Service Type *

Regular Tan (35$)

Express Tan (40$)

Half body (25$)

Mobile Tan (65$ min. 2 people)

In Studio Make up (70$-85$)

Mobile Make up (100$-135$ min 2 people)

Date *

MM

DD

YYYY

Time *

Hour

Minute

Second

AM PM